John ScottF
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FORM
POLITICAL
PRACTICES
COMM.
Please type or print in ink
A Pub11C Document
MAR 12 2001
NAME (LAST) - - - (FIRST) - ("OUPY CLERKS VI'f-IyC PHONE NUMBER
St°AT _ .'" o11d 13ryPA - (62(e ) 5�9�aa
STREET CITY
address)
W iMA ) 6k 9176f�
COVER PAGE
r v
1. Name of Office Sought or Held, Agency or 4. Schedule Summary
Court (Provide precise name. Do not use (Check applicable schedules Q "No reportable interests.I
-.. -
Division, Board, District, if applicable:
Position:
PAF_;► ,stnPEz IN TI�u 1 n� T
If Expanded Statement - List agency /position:
(Attach a separate sheet it necessary. Do not use acronyms
File originally signed statement with each filing official.)
Agency:
Position Title:
2. Office Jurisdiction (check one)
❑ State
❑ County of
`city of TZOSGME/kD
❑ Multi -County
❑ Other
During the.reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 Yes - schedule attached
Investments ties: then lo%Oenetship)
Schedule A -2 ❑ Yes - schedule attached
Investments (Greeter man fa %Ownership)
Schedule B '�5RJes - schedule attached
Real Property
Schedule C es - schedule attached
Income 6 Busine s Positions gramme other than Losnq Gifts, and Tra:e9
Schedule D Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
w ❑ No reportable interests on any schedule
Total number of pages (including this cover page):
3. Type of Statement (Check at least one box)
❑ Assuming Office/Initial Date: --]—J—
Annual
(Check one)
40 The period covered is January 1, 2000, through
December 31. 2000.
O The period covered is �� —, through
December 31, 2000.
❑ Leaving Office Date Left:
(Check one)
• The period covered is January 1, 2000, through the
date of leaving office.
• The period covered is _J___J through the
date of leaving office.
Date Received
STATEMENT OF ECONOMIC INTERI(+E I VE orraea use Dory
C
ITY OF ROSEMEAD
5. Verification
I have used all reasonable diligence in preparing this
statement. I have reviewed this statement and to the best of
my knowledge the information contained herein and in any
attached schedules is true and complete. I certify under penalty
of perjury under the laws of the State of California that the
foregoing is true and correct.
/ /
EXECUTED ON
SIGNATURE
OPTIONAL: FAX / E -MAIL ADDRESS
day,
your
❑ Candidate
FPPC Form 700 (200012001)
FPPC Toll -Free Helpllne: 866/ASK -FPPC
Schedule A -1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
> NAME OF. BUSINESS ENTITY
Zhdu MAC 13,0f
GENERAL 6ESCRIPTION OF BUSINESS ACTIVITY
LA V46fZrF, C4
FAIR MARKET VALUE -
10,00 - $10,001 - $100.000
❑ $100,001 - $1,000,000 10ver $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑, Other A li I lS
Describe)
IF APPLICABLE, LIST DATE:
---/ --- J 00 --J 00
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
&tvtgw% - fyi% S-F✓ �c 5
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
$2,000 - $10,000
❑ $10,001 - $100,000 _
❑ $100,001 - $1,000,000
❑ Over $1,000,000
N OF INVESTMENT
y0 - Stock
/
❑� Other
(DesWbe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
>
NAME OF BUSINESS ENTITY
1
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
/9 F IRMARKETVALUE
$2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1.000,000
- NATURE OF INVESTMENT
�x Stock
❑ Other
(0moibe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2.000 - $10,000
❑ $100,001 - $1,o0o,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
❑ $10,001 - $100,000
❑ Over $1,000,000
( Describe)
IF APPLICABLE, LIST DATE!
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock '.
❑ Other
IF APPLICABLE. LIST DATE:
❑ $10,001 - sloo,000
❑ Over $1,000,000
ACQUIRED _ DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
❑ $10,001 - $106,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
(Describe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
FPPC Form 700 (200012001) Sch. A -1
FPPC Toll -Free Helpline: 866/ASK-FPPC
Schedule B I
Interests in Real Property
> STREET ADDRESS OR PRECISE LOCATION
j3 88 Wtawovi Place
CITY
oMonlrr�
CA ;
917(01?
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,00o
❑ $10,001 - $1oo,000
/00
$100,001 - $1,000,000 _
ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
❑ Rental Property l4 Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $449 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: Ir you own a 10% or greater interest,
see the instwcu.n. for reporting sources of rental income. _
NAME OF LENDER -
7 Qy MMe
ADDR04+ ot .�/ St' - 'L' VEKrJE, cA
BUS ACTIVITY OF LENDER `!1780
Ig Financial Institution
❑ Other
INTEREST RATE TERM (Months/Years)
7 % [] None - 3 0 ytAe
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 '& OVER $100,000
❑ Guarantor, if applicable
Check below if another loan is disclosed on Schedule D.
❑ Additional loan - refer to Sch. D.
Comments:
STREET ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,D00 - $10,000
❑ $10,001 - $100,000 J-J 00
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Rental Property ❑ Ownership /Deed of Trust ❑ Easement
❑
Leasehold ❑
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $449 ❑ $500 - $1,000 ❑ $1.001.- $10,000
❑ $10,001 - $100.000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greeter interest,
see the instructions for reporting sources of rental income.
NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
❑ Financial Institution
❑ Other
INTEREST RATE _ TERM(Months/Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Check below if another loan is disclosed on Schedule D.
❑ Additional loan - refer to Sch. D.
FPPC Form 700 (2000/2001) Sch. B
FPPC Toll -Free Helpline: 8661ASK -FPPC
Schedule C (
NIA
Income & Business Positions
(Income Other than Loans, Gifts, and
Travel Payments)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED ,
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
.- _ ( Prcperty, car, boa( elc)
❑ Commission or ❑ Rental Income,.ust each source of $10,000 or more
❑ Other
(Desu@e)
Y NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION -
GROSS INCOME RECEIVED
❑ $5oo - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's. income ❑ Loan repayment
❑ Sale of
(Property, car, base, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
Comments:
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1.000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,001) -
CONSIDERATION FOR WHICH INCOME WAS RECEIVED -
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Property, cer, boat, arc.)-
❑ Commission or ❑ Rental Income, list each source or $10,000 or more
❑ Other
(Describe) -
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVrrY IF ANY, OF SOURCE
YOUR BUSINESS POSITION -
GROSS INCOME RECEIVED -
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000 -
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary - ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Property, car boat, elc)
❑ Commission or ❑ Rental Income, list each source of $10.000 or more
❑ Other
(DesuibeJ
FPPC Form 700 (200012001) Sch.0
FPPC Toll -Free Helpline: 866 1ASK -FPPC
Schedule D
Income — Loans
(Received or Outstanding)
> NNA 1E QF LENDER
MM
ADDRES
boni�n V
S{s� VE(tnl cA
1 170
BLy61NESS ACTIVITY OF LENDER
1Kc��5 Financial Institution
❑ Other
INTEREST RATE TERM 2 (M�onthsNears)
% ❑ None 30
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000.
❑ $1,001 - $10.000
❑ $10,001 - $100,000
`OVER $100,000
SECURITY FOR LOAN - -
❑ None ❑ Automobile - ^ P,errrsonal residence
F1 Real Property 17SD wGSI WOa pIkcz
Street '6creas
FOAN4 GM 91760
ba
❑ Guarantor
IX ...(NA I r
9)(01
> NAME OF LENDER
_4
ADDRESS
BUSJNESS ACTIV14 OF LENDER
'* rFinancial Institution
❑ Other
INTEREST RATE TERM (Months/Years)
L7- ❑ None _ v VF -
HIGHEST BALANCE DURING REPORTING PERIOD
0 $500 - $1,000 $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SECURITY FOR LOAN -
❑ None Automobile ❑ Personal residence
❑ Real Property
(reel add ress
❑ Guarantor n
Other - �
(Descdbaf
Comments:
> NAME OF LE , /
0A1 b,kV (Sh-
ADDRESS
BSS ACTIVITY OF LENDER
Financial Institution
❑ Other
INTEREST RATE
); ❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1.000 61,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000 ,
SECURITY FOR LOAN
❑ None - ❑ Automobile ❑ Personal residence
❑ Real Property
Slm,
❑ Guarantor
❑ Other
(Descdb
>. NAME OF LENDER
'r-•-A WdAt "
ADDRESS
�BU�SINESS ACTIVITY OF LENDER
QO Financial Institution
F/ Other
INTEREST RATE
% ❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
'$10,001 - $100,000 ❑OVER $100,000
SECURITY FOR LOAN
❑ None ❑ Automobile �' Personal residence
❑Real Property I J hle& f wood G /,t �
Street address
�aM aNn, C4 , g1709
❑ Guarantor
❑ Other
FPPC Form 700 (200012001) Sch. D
FPPC Toll -Free Helpllne: 6661ASK -FPPC